Conditions We Treat
Padda Institute treats chronic pain in St. Louis with minimally invasive care. That means facet joint injections and radiofrequency ablation, epidural steroid injections, and selective nerve root blocks. It means nerve testing (electrodiagnostic testing). It means in-office shockwave, cold laser, and traction therapy. We take digital whole body X-rays on site.
Padda Institute Center for Interventional Pain Management offers many minimally invasive ways to get you relief. Our treatments have been shown to work. Our goal is to improve each patient’s whole health. Better health means a better life. At Padda Institute, we feel your pain. So our mission is to find and treat every chronic pain problem, all the way to the root.
Cold Laser Therapy (Photobiomodulation)
Cold laser therapy, also called photobiomodulation, uses red and near-infrared light at 650, 808, 905 and 980 nanometers. It calms...
Shockwave Therapy
Extracorporeal shockwave therapy sends focused sound pressure waves into long-standing tendon and soft-tissue injuries to spark repair. We give it...
Pneumatic Cervical Traction
Pneumatic cervical traction gives the neck controlled, measured decompression (a gentle stretch). It takes pressure off the neck discs and...
Whole Body Infrared Therapy
Whole body high-intensity infrared therapy sends warmth deep into your body. It eases muscle guarding, boosts blood flow and helps...
Whole Body Vibration Therapy
Whole body vibration therapy uses a shaking platform to make your muscles work by reflex. It builds load tolerance when...
Digital Whole Body X-Ray
Digital whole body X-ray performed on site at Padda Institute in St. Louis. Your scan and your exam happen in...
![Cognivue [Cognitive and Memory Testing] cognitive assessment station at Padda Institute, St. Louis](https://painmd.tv/wp-content/uploads/2026/07/padda-cognivue-testing-card-768x576.webp)
Cognivue Cognitive Assessment
Cognivue provides an objective, computerized cognitive assessment. It tracks changes in thinking during chronic pain care, opioid tapering or metabolic...
Failed Back Surgery Syndrome
Failed back surgery syndrome is pain that stays or comes back after spine surgery. The usual causes are epidural scar...
Cancer Pain Management
Cancer pain is a condition rather than a single diagnosis. Organ, bone, nerve and mechanical pain often show up together....
Electroanalgesia (TENS and PENS)
Electroanalgesia uses controlled electrical stimulation to block and turn down pain signals. It is for nerve pain that has not...
Anxiety, PTSD and Chronic Pain
Many of our patients have suffered significant trauma, either mental or physical. It keeps their anxiety high all the time,...
Facet Joint Injection
The spine is designed to bend and turn. Along with the intervertebral discs, facet joints (also referred to as Z...
Facet Joint Radiofrequency (Rf)
A patient with primary facet pain, proven with either one or more blocks, may be a candidate for a facet...
Sciatica Nerve Pain Treatment
Sciatica mainly refers to the pain that radiates along the sciatic nerve. The sciatic nerve branches from the lower back,...
Severe Head And Neck Pain
The goal of the Padda Institute Headache Section is to provide diagnosis and treatment that will help people who experience...
Stellate Ganglion Block
Your body has special nerves known as sympathetic nerves in your neck which ,control blood supply and sweating to your...
Vertebroplasty
Bed rest and strong pain medicine are no longer the only treatments for back pain caused by compression fractures of...
Epidural Steroid Injection (ESI)
Back pain affects nearly everyone at some point in their adult life. Often the exact cause of pain is not...
Selective Nerve Root Block
Nerve roots exit your spinal cord and form nerves that travel into your arms or legs. These nerves allow you...
Serious Foot Pain
Nearly 60% of patient’s with chronic forefoot pain presenting to a podiatry practice have surgical intervention, yet only 50-60% of...
Pancreatitis Pain Treatment
Pancreatitis is the inflammation of the pancreas. The pancreas is a large gland behind the stomach and near the first...
Discogram
The disks are soft, cushion-like pads that separate the hard bones of your spine. A disk may be painful when...
Electrodiagnostics
Electrodiagnostics (EDX) testing checks the health and function of the peripheral nervous (most cranial nerves..
Car Accidents Injuries
At Padda Institute Of Pain Management, we understand that car accidents can result in a wide range of injuries. That...
Cluster Headache Treatment
Cluster Headache is a very severe primary headache disorder. In any one year, about 0.1% of people have it.
Complex Regional Pain Syndrome
Complex regional pain syndrome (CRPS), once called reflex sympathetic dystrophy, is lasting burning pain in an arm or leg after...
Diabetes And Neuropathy
Diabetic Peripheral Neuropathy (DPN) is the most common complication of diabetes, and often presents as a distal, symmetric..
Hip Joint Injection
The hip joint is a large joint where the leg joins the pelvis. It works as a ball and socket....
Lumbar Sympathetic Nerve Block
Your body has special nerves known as sympathetic nerves in your back that control blood supply and sweating to your...
Migraine Headaches
Headache is among the principal reasons for physician visits and a common cause of emergency department visits.
MILD Procedure for Lumbar Spinal Stenosis
Minimally invasive lumbar decompression for spinal stenosis caused by a thickened ligamentum flavum (a ligament along the back of the...
Sacroiliac Joint Fusion
Minimally invasive SI joint fusion for sacroiliac joint dysfunction, using the iFuse and Catamaran implant systems. Performed in St. Louis.
Intracept Basivertebral Nerve Ablation
The Intracept procedure treats vertebrogenic low back pain by shutting down the basivertebral nerve inside the spine bone. You go...
Sacroiliac (SI) Joint Injection
A sacroiliac joint injection puts anti-inflammatory medicine into the SI joint under fluoroscopic guidance (live X-ray). We do it at...
Kyphoplasty
Vertebral compression fractures are among the most common fractures in people with osteoporosis. They are often missed or brushed off...
Trigger Point Injections
A trigger point injection places local anesthetic right into a tight, painful band of muscle. It breaks the cycle of...
Celiac Plexus Block
A celiac plexus block puts local anesthetic (numbing medicine) around the celiac plexus, a nerve bundle in the upper belly,...
Sphenopalatine Ganglion Block
A sphenopalatine ganglion block puts local anesthetic (numbing medicine) on the SPG, a nerve cluster behind the nose. It cuts...
Spinal Cord Stimulation
Spinal cord stimulation uses a small implanted device to send mild electrical pulses to the spinal cord. The pulses block...
Peripheral Nerve Stimulation
Peripheral nerve stimulation places a thin wire (a lead) next to one damaged nerve. The lead sends electrical pulses that...
Hydrodissection
Hydrodissection uses an image-guided fluid injection to separate an entrapped peripheral nerve from surrounding scar tissue or fascia. It takes...
Epiduroplasty (Epidural Lysis of Adhesions)
Epiduroplasty, also called epidural lysis of adhesions, uses a thin tube (catheter) under fluoroscopic guidance (live X-ray) to break up...
Ultrasound-Guided and Fluoroscopic Procedures
Padda Institute performs procedures under both ultrasound and fluoroscopic guidance in St. Louis. Ultrasound lets us watch a joint, muscle,...
Nerve Blocks
A nerve block puts local anesthetic (numbing medicine), sometimes with a steroid, around one nerve or nerve group to cut...
Genicular Nerve Block
A genicular nerve block places local anesthetic around the genicular nerves that serve the knee joint. It is done under...
Genicular Radiofrequency Ablation
Genicular radiofrequency ablation puts controlled heat on the genicular nerves that serve the knee. It blocks pain signals for far...
Viscosupplementation (Knee Gel Injections)
Viscosupplementation injects hyaluronic acid into the knee joint to add to the joint fluid that osteoarthritis has thinned. Padda Institute...
Botox for Chronic Migraine
Botox (onabotulinumtoxinA) is an FDA-approved preventive treatment for chronic migraine. It is given as 31 small shots across seven head...
Cluneal Neuropathy
Cluneal neuropathy is a pinched superior or middle cluneal nerve where it crosses the iliac crest or sacrum. It causes...
Piriformis Syndrome
Piriformis syndrome is pressure on the sciatic nerve from the piriformis muscle in the buttock. The pain mimics lumbar radiculopathy,...
Ketamine for RSD, CRPS and Refractory Nerve Pain
Ketamine blocks the NMDA receptor. That is why we consider it for RSD, CRPS and stubborn nerve pain once standard...
Balance and Fall-Risk Testing
![Cognivue [Cognitive and Memory Testing] cognitive assessment station at Padda Institute, St. Louis](https://painmd.tv/wp-content/uploads/2026/07/padda-cognivue-weightloss-card-768x576.webp)
Medical Weight Loss
Physician-led weight management for patients whose pain and metabolic health are linked. It combines coaching, food, medicine, lifestyle medicine and...
Counseling for Chronic Pain
In-house psychological counseling for chronic pain. We use cognitive behavioral and acceptance-based methods next to interventional (procedure-based) pain treatment and...
Lifestyle Medicine
Treating the terrain around chronic pain: sleep and body-clock timing, food, movement, and the metabolic and inflammation markers that decide...